Organization
SOUTHSIDE MEDICAL CLINIC, LLC
Active
Other names
Southside Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH CAIN (CREDENTIALING)
(662) 809-7559
Entity
Organization
Contact information
Practice address
3800 COMMERCE ST, GRENADA, MS 38901
(662) 230-1161
Mailing address
86 BAKERS GATE, GRENADA, MS 38901-9775
(662) 230-1161
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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